Parent Name:      

Number of children between the ages of 9 & 12: 1 2 3 4 5 6 7 8

E-Mail:

Age of child the survey is being completed for: 9 10 11 12

Please check here if this is the second, third, etc. child you are completing a survey for in this age group.

Please check 10 character traits below that you feel most exemplify the traits that you would like to see your child srengthened in.

Click on any of the words to see a description of them if you are not sure of their meaning. A new window will open every time you click on one so that you will not have to click the back button to return to the survey.

Remember, please check off only ten character traits for this survey.

Thank you for completing this survey,

Rod Handley